鄂尔多斯市机关职员脂肪肝患病率及相关因素分析

目的：了解鄂尔多斯市机关职员脂肪肝的患病率及相关因素。方法：选取鄂尔多斯市参加健康体检的机关职员，收集一般情况、体格检查（身高、体重、腰围、臀围、血压等）、生化指标（空腹血糖、血脂、肝功能等）以及肝脏超声诊断结果。结果：在2650例体检者中共检出脂肪肝586例，患病率为22．11％（男22．84％。女21．56％），标化后患病率为25．32％（男20．12％，女16．08％），男性以40岁以上组最高，女性以50岁以上组最高。但标化后均以30岁以上组最高。脂肪肝组BMI、甘油三酯、总胆固醇、空腹血糖、腰围、腰臀比水平均显著高于非脂肪肝组。随着BMI的增高。男女脂肪肝的患病率均不断上升。脂肪肝组在超重、肥胖、血脂异常、糖尿病、高血压病、ALT方面患病率与非脂肪肝组相比。差异有统计学意义。结论：鄂尔多斯市机关职员脂肪肝患病率高，并有低龄化趋势，以中青年为主。脂肪肝的发生与BMI、肥胖、腰围、腰臀比和甘油三酯等的关系密切。

Analysis in Prevalence of Fatty Liver and Its Related Factors in Office Worker of Erdos City

Objective:To investigate the prevalence of fatty liver and its related factors in institution personnel in Erdos City.Methods: The personnel in institution of Erdos city was enrolled.The general state of health,physical inspection including body height,body weight,waistline,hip circumference and blood pressure,biochemical index including blood-fasting sugar,blood fat and liver function,ultrasound results of liver were collected.Results: 586 of 2650 cases was fatty liver.The prevalence of fatty liver was 22.11%(22.84% of males,21.56% of females).The standardized prevalence of fatty liver was 25.32%(20.12% of males,16.08% of females) The common cases of fatty liver was males aged over 40 years and females over 50 years,but the standarized ones was those aged over 30 years.The levels of BMI,triglyeride,total cholesterol,blood-fasting sugar,waistline and hip circumference in group with fatty liver were higher than those in group without fatty liver.The prevalence of fatty liver was increased with BMI.The prevalence of overweight,fat,abnormal blood fat,diabetes mellitus hypertension and ALT Showed difference between groups with and without fatty liver.Conclusion: The prevalence of fatty liver in personnel in institution of Erdos city is higher,specially in tendency in younger ones.The fatty liver is closely related to BMI,fat,waistline,waist-to-hipratio and triglyceride.